Mark Samuel Mandelcorn, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

188981 Issued in NY

Practice address

301 Sterling Drive
Orchard Park, NY 14127-1570

Phone

(716) 677-6500

Fax

(716) 677-6507

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013966944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 STERLING DRIVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271570",
            "telephone_number": "716-677-6500",
            "fax_number": "716-677-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STERLING DRIVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271570",
            "telephone_number": "716-677-6500",
            "fax_number": "716-677-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELCORN",
        "first_name": "MARK",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "188981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW NEW YORK",
            "identifier": "000511371002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0807246",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01843109",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Celeste Malcolm, LPN
• Anne Malek
• Joelle Maloney, PA
• Michael Mammoser
• Suzanna Marie Mancuso, LPN
• Christina Mandolfo, RDN
• Alexander Kendrat Mandych, M.D.
• Tallia Maness
• Michael Thomas Mangione Jr., D.O.
• Tara Manteghi, D.O.

• Ophthalmology Physician in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.